1980, 07-18 Permit: 80-6913 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK /O 7
W FINAL INSPECTION: 7-a Fatal o4 " ` `tel
DATE REMARKS: %%�j f%
-reeLiCATION/PERMIT
...nANE COUNTY — BUILDING CODER DEPARTMENT
NORTH a111OFFERION / /PORAN., WAOHINOTON 0a2110 / 15001 4564415
JUN AODR.A0
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APPLICANT: COMPLE TE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
5^�ADOR
•:7 O R 0 row 0 ALT. ❑wow. 0 RR 0 MVM.
WOAH' 0 K4 0 PUMP. r/ICH. O Km O POOL
LEGAL DESCRIPTION —SEE ATTACHED
.ARCEL NUMMI
nv
°►9 106
As1v.I 5H thou In FAN
IO Isw1ln
01010E
12P-2/OD
44.216
NROl1E
osl
no Cl.r 1.11on
Vim CAME 0 van,
4500.101.1
❑Y.1 ON. 0 a..,.,
4ulMlna *n. M S. Pt.
ONANda a Uel .AOM I00
ter
elm PIOeI U000 10.0 D.NM AVM I Hon.
NM Of ON P:: m.n1 JInth, IN I
+1p MOR
Alt J `7), i p
VA 1 RCE p,+y EI1CIRic w*T0R�'
11
IL trrlu lsa v I
0 canon
No. Orin* No. *NON
No. Rooms
c45TIPICATE
a 1041SIPTION
um. DOL Leaden I MI
rp'0.
Res 4 .l EWE
M'IR
Owmrmi.
wells 0Pr1..1. ❑I
I hereby certify 1hn I hors reed and examIn.d this application end haus read 104 "NOTICE" provloont lnoludad
on euro ride, and know the sem. to be true and correct All provisions of Iswl and ordinal. * governing this
type of work will W compiled with whether specified herein or not. The slanting of • permit don not annum.
to &Ns Mr torlty to violate Or cOlcal Ns provisions of any other slat. or 10041 sew gohpng construction or the
Per/Nene.* of lmmtruntidn. BEE REVERSE 110E POR REQUIRED INSPECTI • . I
OATS Of APPLICATIQN �� OIONATURE OP APPLICANT •1 // _A-
IIIDIAL APPROVALS OEOIAL PONDITIONEI
NAPS WTI
Ni CODE
A Enfan.x
Ow.
1404.minr
FOR CAS APPLIANCES
PIPE SIZES
PIPE LENGTHS
BTUS
FEESCOLLSCTIO
OMR S
S UlldIno
Plumbing
Pl.n Chalk
P APA
Mablls Han
O+ner (Specify)
TOTAL =�
7